National Expenditures on Health and Nursing Home Care
Introduction
Overview of Spending Patterns
Overview of Financing Patterns
Projections of Health Care Expenditures
Implications for the Nursing Home Industry
Legislative and Economic History of the Nursing Home Industry
Introduction
Prior to the Social Security Act of 1935
From Social Security to Medicare
The Medicare/Medicaid Era
Cost Containment: The Issue of the Eighties and Beyond Trends in the 1990s
Elements of Nursing Home Demand
Demographic Trends
Risk Factors for Institutionalization
Theories of Demand
Structure of the Nursing Home Industry
Nursing Homes and Their Characteristics
Nursing Facilities
ursing Facility Beds
Nursing Facility Residents
Industry Employment and Staffing
Financial Characteristics and Measures
Theories of Supply
Financing Arrangements and Cost Relationships
Payment Patterns for Nursing Home Care
Public Payment Options
Private Payment Options
Cost Relationships
Cost-Containment Regulation, and Quality Issues
Cost-Containment Approaches
Managed Care
The BBA of 1997]
PPS and the Nursing Home Industry
Balanced Budget Refinement Act of 1999
Regulation and Quality
Quality Concepts
Quality by Profit Status
7Competitive Challenges and Opportunities: The LTC Continuum
LTC Specialization, Diversification, and Integration
Subacute Care
Data on the Subacute Care Industry
Issues in Subacute Care
Home Health Care
Adult Day Care
Competitive Challenges and Opportunities: The LTC Continuum
Assisted Living
The Market for AL
Continuing Care Retirement Communities
Hospice Care
Integrated Provider Networks
Global Comparisons
Data Considerations
Demographic Considerations
Institutionalization Rates
Comparative Delivery and Financing of LTC Services
The LTC Continuum of Outside the United States
Common Aspects of Global Long-Term Care Approaches
Public Policy Perspectives
Overview
Reforming LTC Financing
Alternative Delivery Systems
The Likely Reform Scenario: Continuing Incrementalism
Managerial Issues and Challenges
Managerial Challenges
Financial and Human Resource Concerns
Quality and Regulatory Matters
Legal Issues
The Ultimate Issue: A Revenue Crisis
Concluding Thoughts
Table of Contents provided by Ingram. All Rights Reserved.
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